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脑室引流术后颅内感染的相关危险因素分析

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目的 探讨脑室引流术后颅内感染的相关危险因素.方法 本研究通过回顾性分析,对本院 2018 年 1 月至 2024 年 1 月行脑室引流手术的 150 例患者的临床资料进行整理,运用单因素和多因素Logistic回归分析,探讨脑室引流术后颅内感染的潜在危险因素.结果 纳入研究的 150 例患者中,术后有 20 例发生颅内感染,其比例为 13.33%.单因素分析结果表明,年龄≥60 岁、肺部感染、手术持续时间≥2 h、手术次数≥2 次、引流置管时间≥7 d、脑脊液漏均可能与颅内感染有关(P<0.05);多因素分析结果表明,年龄、肺部感染、引流置管时间以及脑脊液漏等均为术后颅内感染的独立危险因素(P<0.05).结论 脑室引流患者术后出现颅内感染可能与年龄、肺部感染、引流置管时间以及脑脊液漏有关.因此,临床上应及时采取针对性的预防措施,对这些危险因素早期干预,降低术后颅内感染的发生率.
Analysis of risk factors related to intracranial infection after ventricular drainage
Objective To investigate the risk factors of intracranial infection after ventricular drainage.Methods Through retrospective analysis,the clinical data of 150 patients who underwent ventricular drainage surgery in our hospital from January 2018 to January 2024 were collect-ed,and univariate and multivariate Logistic regression analysis was used to explore the potential risk factors of intracranial infection after ventricular drainage.Results Among the 150 patients included in the study,20 cases had intracranial infection after surgery,the rate was 13.33%.The results of univariate analysis showed that age≥60 years,pulmonary infection,operation duration≥2 h,operation frequency≥2 times,drainage time≥7 d and cerebrospinal fluid leakage were all associated with intracranial infection(P<0.05).The results of multi-factor analysis showed that age,pul-monary infection,drainage time and cerebrospinal fluid leakage were independent risk factors for postoperative intracranial infection(P<0.05).Conclusion The occurrence of intracranial infection in patients with ventricular drainage after surgery may be related to age,pulmonary infection,catheter placement time and cerebrospinal fluid leakage.Therefore,timely preventive measures should be taken and early intervention should be im-plemented to reduce the incidence of postoperative intracranial infection.

Ventricle drainage surgeryIntracranial infectionPrognosisRisk factor

赵灵、王刚、陈思桦、梁小松、何辰军

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312000 绍兴,绍兴文理学院附属医院

脑室引流手术 颅内感染 预后 危险因素

2024

浙江创伤外科
温州医学院

浙江创伤外科

影响因子:0.884
ISSN:1009-7147
年,卷(期):2024.29(10)